Leberruptur bei hepatozellulärem Karzinom

A case of

acute abdomen caused by ruptured bifocal HCC. CT images performed before injection of contrast medium reveals free peritoneal fluid with higher attenuation in the right subhepatic space (arrow)

A case of

acute abdomen caused by ruptured bifocal HCC. CT image performed after injection of contrast medium reveals an heterogeneous capsulated hepatic nodule in III segment, showing intralesional active extravasation of contrast medium (arrow).

A case of

acute abdomen caused by ruptured bifocal HCC. CT image performed after injection of contrast medium reveals another protrusive capsulated hepatic nodule in VI segment, presenting peripheral hypodense area (arrow), suggesting the point of rupture through the liver capsule.

A case of

acute abdomen caused by ruptured bifocal HCC. CT image performed after injection of contrast medium reveals active intraperitoneal bleeding (arrow) in subhepatic space.

A case of

acute abdomen caused by ruptured bifocal HCC. CT image performed after injection of contrast medium reveals two protrusive capsulated liver nodules of III and VI liver segments, with active intraperitoneal bleeding (arrow) below the nodule of VI segment.

A case of

acute abdomen caused by ruptured bifocal HCC. CT image performed after injection of contrast medium reveals a protrusive capsulated hepatic nodule of VI segment, presenting peripheral hypodense area (arrow), suggesting the point of rupture through the liver capsule.

A case of

acute abdomen caused by ruptured bifocal HCC. CT sagittal image performed after injection of contrast medium reveals hepatic nodule in VI segment, presenting peripheral hypodense area (green arrow) and adjacent active intraperitoneal bleeding (yellow arrow).

A case of

acute abdomen caused by ruptured bifocal HCC. CT sagittal image performed after injection of contrast medium reveals hepatic nodule in VI segment, presenting peripheral hypodense area and adjacent active intraperitoneal bleeding.

Rupture and

intra-peritoneal bleeding of a hepatocellular carcinoma after a transarterial chemoembolization procedure: a case report. Computed tomographic scan of ruptured hepatocellular carcinoma post-TACE.

Rupture and

intra-peritoneal bleeding of a hepatocellular carcinoma after a transarterial chemoembolization procedure: a case report. Computed tomographic scan of ruptured hepatocellular carcinoma with associated hemorrhage immediately post-TACE.

One stage

resection of spontaneous rupture of hepatocellular carcinoma in the triangular ligament with diaphragm invasion: case report and review of the literature. A contrast extravasation is shown from a mass like lesion on the lateral border of the liver (arrow) and hemoperitoneum.

One stage

resection of spontaneous rupture of hepatocellular carcinoma in the triangular ligament with diaphragm invasion: case report and review of the literature. Abdominal CT showes diaphragm invasion of the mass like lesion (arrow).

One stage

resection of spontaneous rupture of hepatocellular carcinoma in the triangular ligament with diaphragm invasion: case report and review of the literature. A liver surrounded by a large volume of fluid is seen. An approximately 4cm sized low density lesion is located in the periphery of the lateral segment (arrow).